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1.
Environ Sci Technol ; 58(1): 859-870, 2024 Jan 09.
Artigo em Inglês | MEDLINE | ID: mdl-38060830

RESUMO

The efficient removal of the highly toxic arsine gas (AsH3) from industrial tail gases under mild conditions remains a formidable challenge. In this study, we utilized the confinement effect of defective carbon nanotubes to fabricate a CuO cluster catalyst (CuO/ACNT), which exhibited a capacity much higher than that of CuO supported on pristine multiwalled carbon nanotubes (MWCNT) (CuO/PCNT) for catalytically oxidizing AsH3 under ambient conditions. The experimental and theoretical results show that nitric acid steam treatment could induce MWCNT surface structural defects, which facilitated more stable anchoring of CuO and then improved the oxygen activation ability, therefore leading to excellent catalytic performance. Density functional theory (DFT) calculations revealed that the catalytic oxidation of AsH3 proceeded through stepwise dehydrogenation and subsequent recombination with oxygen to form As2O3 as the final product.


Assuntos
Nanotubos de Carbono , Nanotubos de Carbono/química , Temperatura , Gases , Oxigênio , Oxirredução
2.
Nutr Metab Cardiovasc Dis ; 34(3): 738-754, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38161128

RESUMO

BACKGROUND AND AIMS: The novel sex-specific anthropometric equation relative fat mass (RFM) is a new estimator of whole-body fat %. The study aimed to investigate the predictive role of RFM in cardiometabolic abnormalities, cardiovascular disease (CVD), all-cause and cardiovascular mortality, and explored potential sex differences. METHODS AND RESULTS: The study analyzed data from 26,754 adults in NHANES 1999-2010, with a median follow-up of 13.8 years. The correlation between RFM and body composition as well as fat distribution assessed by dual-energy X-ray absorptiometry was investigated. Weighted multivariable generalized linear models, Cox proportional hazards models and restricted cubic spline were applied to investigate the predictive role of RFM in metabolic markers, cardiovascular risk factors, CVD, all-cause and cardiovascular mortality. RFM exhibited a robust correlation with both whole-body fat % and trunk fat %. Higher RFM exhibited a stronger association with impaired glucose homeostasis, serum lipids, the incidence of hypertension, and coronary heart disease in males, while a stronger association with C-reactive protein in females. A U-shaped association between RFM and all-cause mortality was observed only in males. The hazard ratio (HR) of all-cause and cardiovascular mortality in males increased rapidly when RFM exceeded 30. However, in females, the HR of all-cause and cardiovascular mortality fluctuated until RFM exceeded 45, after which it increased rapidly. CONCLUSION: RFM was a sex-specific estimator for both general and central obesity, sex-specific differences in predicting cardiometabolic abnormalities and adverse events using RFM might be partially attributed to differences in body composition and fat distribution between sexes.


Assuntos
Doenças Cardiovasculares , Sistema Cardiovascular , Adulto , Feminino , Humanos , Masculino , Caracteres Sexuais , Inquéritos Nutricionais , Estudos Prospectivos , Doenças Cardiovasculares/diagnóstico por imagem
3.
Postgrad Med J ; 2024 Apr 10.
Artigo em Inglês | MEDLINE | ID: mdl-38598956

RESUMO

BACKGROUND: Marital status is associated with cardiovascular disease (CVD) incidence and overall mortality, yet limited research on this topic in elderly individuals is available. Our aim was to comprehensively assess the impact of marital status and other family factors on CVD incidence and long-term mortality among elderly people. METHODS: Data from the Chinese Longitudinal Healthy Longevity Survey (2002/2005/2008-2018) for participants aged ≥60 years were analysed. A cross-sectional study initially examined the correlation between spouses, offspring, living arrangements, and CVD using logistic regression. Subsequently, a retrospective cohort study investigated the long-term associations of these factors with overall mortality via Kaplan-Meier and Cox regression analyses. RESULTS: The study involved 48 510 subjects (average age: 87 years). The cross-sectional analysis revealed a correlation between living with a spouse and an increased incidence of heart disease (adjusted OR 1.27, 95% CI 1.04-1.55) and cerebrovascular disease/stroke (adjusted OR 1.26, 95% CI 1.11-1.42). According to the retrospective cohort analysis, living with a spouse significantly reduced overall mortality (adjusted HR 0.84, 95% CI 0.80-0.87), irrespective of marital relationship quality. Conversely, living with offspring (adjusted HR 1.12, 95% CI 1.08-1.16), having more children (adjusted Pnonlinearity = 0.427) or cohabitants (adjusted Pnonlinearity < 0.0001) were associated with increased overall mortality. CONCLUSION: In the elderly population, being married and living with a spouse were not significantly associated with a decrease in CVD incidence but were associated with a reduction in long-term overall mortality. Living with offspring, having more children, or having a larger family size did not replicate the protective effect but indicated greater overall mortality.

4.
Small ; 19(28): e2301169, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-37010044

RESUMO

With the widespread application of lithium iron phosphate batteries, the production capacity of the yellow phosphorus industry has increased sharply, and the treatment of the highly toxic by-product PH3 is facing severe challenges. In this study, a 3D copper-based catalyst (3DCuO/C) that can efficiently decompose PH3 at low temperatures and low oxygen concentrations is synthesized. The PH3 capacity is up to 181.41 mg g-1 , which is superior to that previously reported in the literature. Further studies indicated that the special 3D structure of 3DCuO/C induces oxygen vacancies on the surface of CuO, which is beneficial to the activation of O2 , and then promotes the adsorption and dissociation of PH3 . The doping of P after dissociation determines the formation of Cu-P, and the eventual conversion to Cu3 P leads to the deactivation of CuO active sites. More strikingly, due to the appearance of Cu3 P, the deactivated De-3DCuO/C (Cu3 P/C) exhibited significant activity in the photocatalytic degradation of rhodamine B and photocatalytic oxidation of Hg0 (gas) and can also be a candidate as an anode material for Li batteries after modification, which will provide a more thorough and economical treatment scheme for deactivated catalysts.

5.
Environ Sci Technol ; 57(11): 4632-4642, 2023 03 21.
Artigo em Inglês | MEDLINE | ID: mdl-36912193

RESUMO

CuX/TiO2 adsorbents with CuO as the active component were prepared via a simple impregnation method for efficient purification of phosphine (PH3) under the conditions of low temperatures (90 °C) and low oxygen concentration (1%). The PH3 breakthrough capacity of optimal adsorbent (Cu30/TiO2) is 136.2 mg(PH3)·gsorbent-1, and the excellent dephosphorization performance is mainly attributed to its abundant sur face-active oxygen and alkaline sites, large specific surface area, and strong interaction between CuO and the support TiO2. Surprisingly, CuO is converted to Cu3P after the dephosphorization by CuX/TiO2. Since Cu3P is a P-type semiconductor with high added value, the deactivated adsorbent (Cu3P/TiO2) is an efficient heterostructure photocatalyst for photocatalytic removal of Hg0 (gas) with the Hg0 removal performance of 92.64% under visible light. This study provides a feasible strategy for the efficient removal and resource conversion of PH3 under low-temperature conditions and the alleviation of the environmental risk of secondary pollution.


Assuntos
Cobre , Mercúrio , Catálise , Mercúrio/química
6.
Nutr Metab Cardiovasc Dis ; 33(5): 978-986, 2023 05.
Artigo em Inglês | MEDLINE | ID: mdl-36710105

RESUMO

BACKGROUND AND AIMS: The lack of standard diagnostic criteria in elder patients with heart failure (HF) makes it challenging to diagnose and manage malnutrition. We aimed to explore the prevalence of malnutrition, its associations and prognostic significance among elder patients with HF using four different nutritional scoring systems. METHODS AND RESULTS: Consecutively presenting patients aged ⩾65 years, diagnosed with HF, and admitted to HF care unit of Fuwai Hospital CAMS&PUMC (Beijing, China) were assessed for nutritional indices. In total, 1371 patients were enrolled (59.4% men; mean age 72 years; median NT-proBNP 2343 ng/L). Using scores for the prognostic nutritional index (PNI) ≤38, controlling nutritional status (CONUT) score >4, geriatric nutritional risk index (GNRI) ≤91, and triglycerides, total cholesterol, and body weight index (TCBI) ≤1109, 10.4%, 18.3%, 9.2%, and 50.0% of patients had moderate or severe malnutrition, respectively. There was a strong association between worse scores and lower body mass index, more severe symptoms, atrial fibrillation, and anemia. The mortality over a median follow-up of 962 days (interquartile range (IQR): 903-1029 days) was 28.3% (n = 388). For those with moderate or severe condition, 1-year mortality was 35.2% for PNI, 28.3% for CONUT, 28.0% for GNRI, and 19.1% for TCBI. Malnutrition, defined by any of the included indices, showed added prognostic value when incorporated into a model and included preexisting prognostic factors (C-statistic: 0.711). However, defining malnutrition by the CONUT score yielded the most significant improvement in the prognostic predictive value (C-statistic: 0.721; p < 0.001). CONCLUSION: Malnutrition is prevalent among elder patients with HF and confers increased mortality risk. Among the nutritional scores studied, the CONUT score was most effective in predicting the mortality risk. CLINICAL TRIAL REGISTRATION: URL: ClinicalTrials.gov; Unique Identifier: NCT02664818.


Assuntos
Insuficiência Cardíaca , Desnutrição , Idoso , Feminino , Humanos , Masculino , Peso Corporal , Insuficiência Cardíaca/diagnóstico , Insuficiência Cardíaca/epidemiologia , Insuficiência Cardíaca/complicações , Desnutrição/diagnóstico , Desnutrição/epidemiologia , Desnutrição/complicações , Avaliação Nutricional , Estado Nutricional , Prevalência , Prognóstico , Estudos Retrospectivos , Fatores de Risco
7.
Nutr Metab Cardiovasc Dis ; 32(8): 1894-1902, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35637081

RESUMO

BACKGROUND AND AIMS: Both malnutrition and hyponatremia (serum sodium <135 mmol/L) can be induced by the impaired absorption function of the edematous intestinal wall caused by heart failure (HF) and are prognostic factors of mortality in HF. However, little is known about the interrelationship of nutritional status and hyponatremia in mortality risk prediction in HF. METHODS AND RESULTS: This study enrolled 2882 HF patients admitted to the HF care unit of Fuwai Hospital, Beijing, China from 2008 to 2018; 71.3% were male and the mean age was 56.64 ± 15.96 years. Nutritional status was assessed by prognostic nutritional index (PNI), calculated as serum albumin (g/L) + 5 × total lymphocyte count (109/L). Lower PNI indicates worse nutritional status. Patients were divided into 8 groups based on baseline PNI quartiles (Q1: <43.6, Q2: 43.6-48.55, Q3: 48.55-63.25, Q4: >63.25) and sodium level (normal sodium and hyponatremia). After adjustment, patients in the PNI Q1 associated with hyponatremia had a 2.12-fold higher risk of all-cause death (95% confidence interval [CI]: 1.67-2.70) compared with those in the PNI Q4 with normal sodium. A refinement in risk prediction was observed after adding PNI quartile and serum sodium category to the original model (ΔC-statistic = 0.018, 95% CI: 0.007-0.025; net re-classification index = 0.459, 95% CI: 0.371-0.548; integrated discrimination improvement = 0.025, 95% CI: 0.018-0.032). CONCLUSION: HF patients with both the lowest PNI quartile and hyponatremia are at higher risk of all-cause mortality. The combination of PNI and serum sodium level enhanced the predictive value for all-cause mortality in hospitalized HF patients. CLINICAL TRIAL REGISTRATION: URL: ClinicalTrials.gov; Unique Identifier: NCT02664818.


Assuntos
Insuficiência Cardíaca , Hiponatremia , Sódio , Adulto , Idoso , Feminino , Insuficiência Cardíaca/sangue , Insuficiência Cardíaca/diagnóstico , Humanos , Hiponatremia/diagnóstico , Masculino , Pessoa de Meia-Idade , Avaliação Nutricional , Estado Nutricional , Prognóstico , Estudos Retrospectivos , Fatores de Risco , Sódio/sangue
8.
Mikrochim Acta ; 186(12): 790, 2019 11 16.
Artigo em Inglês | MEDLINE | ID: mdl-31734744

RESUMO

An optical nanoprobe consisting of gold nanoclusters (AuNCs) and gold nanoparticles (AuNPs) is described for ultrasensitive detection of heparin (Hep). Polyethyleneimine (PEI) induces the aggregation of AuNPs which results in a color change from wine red (peak at 520 nm) to blue (peak at 610 nm). In parallel, the fluorescence of AuNCs (with excitation/emission maxima at 370/610 nm) is weakened. However, in the presence of Hep (which is strongly negatively charged), it will electrostatically bind to positively charged PEI and then will prevent aggregation. Hence, the color changes from blue (aggregated) to red (non-aggregated). In parallel, fluorescence remains unchanged. Hep can be quantified by using the nanoprobe in the range of 4-220 ng·mL-1, with the detection limits as low as 1.6 (colorimetry) and 3.4 ng·mL-1 (fluorometry). The assay was applied to the detection of Hep in (spiked) human serum with satisfactory results. Graphical abstractSchematic illustration for colorimetric and fluorometric determination of heparin based on the use of a nanoprobe consisting of gold nanoclusters (AuNCs) and gold nanoparticles (AuNPs) with polyethyleneimine (PEI) as the mediator.

9.
Cell Physiol Biochem ; 47(2): 556-566, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29794450

RESUMO

BACKGROUND/AIMS: The degree of hepatic ischemia-reperfusion injury (HIRI) is highly relevant to the incidence of postoperative liver failure and mortality. Bone marrow-derived mesenchymal stem cells (BM-MSCs) have been shown to migrate to the liver and restore the damaged liver. Intravenous anesthetics are commonly used in the perioperative period; however, it is not yet known whether they have an influence on the functions of BM-MSCs and eventually affect the recovery of HIRI. METHODS: A rat model of HIRI and a hypoxia-reoxygenation (H/R) model using L02 cells were generated, and human BM-MSCs (hBM-MSCs) were injected through the portal vein or co-cultured with L02 cells in a Transwell system, respectively. Three intravenous anesthetics, namely, dexmedetomidine, midazolam, and propofol, were given as pretreatments to hBM-MSCs. Quantitative real-time PCR for growth factors (HGF, FGF, VEGF, and IGF) and a migration assay were used to detect the paracrine and migration abilities of hBM-MSCs. NF-κB expression was detected using an immunofluorescence method. Furthermore, three receptor inhibitors, namely, yohimbine, PK11195, and bicuculline, were given to explore whether the three anesthetics worked in a receptor-dependent manner. RESULTS: Preconditioning with dexmedetomidine and midazolam, but not propofol, enhanced the efficacy of hBM-MSCs in HIRI. Dexmedetomidine and midazolam, but not propofol, changed the paracrine spectrum and NF-κB p65 nuclear translocation of hBM-MSCs co-cultured with L02 cells after H/R injury. All three anesthetics enhanced the migration ability of hBM-MSCs when cultured in L02 H/R conditioned medium. However, the addition of receptor antagonists resulted in an opposite tendency. CONCLUSIONS: The intravenous anesthetics dexmedetomidine and midazolam enhanced the liver protective effects of hBM-MSCs during HIRI more effectively than propofol, by binding with their receptors and regulating the paracrine effect, migration ability, and NF-κB p65 nuclear translocation of hBM-MSCs.


Assuntos
Anestésicos Intravenosos/uso terapêutico , Transplante de Células-Tronco Mesenquimais , Traumatismo por Reperfusão/prevenção & controle , Anestésicos Intravenosos/farmacologia , Animais , Células da Medula Óssea/citologia , Hipóxia Celular , Movimento Celular/efeitos dos fármacos , Células Cultivadas , Técnicas de Cocultura , Meios de Cultivo Condicionados/farmacologia , Modelos Animais de Doenças , Fator de Crescimento de Hepatócito/genética , Fator de Crescimento de Hepatócito/metabolismo , Humanos , Fígado/efeitos dos fármacos , Fígado/metabolismo , Fígado/patologia , Masculino , Células-Tronco Mesenquimais/citologia , Células-Tronco Mesenquimais/efeitos dos fármacos , Células-Tronco Mesenquimais/metabolismo , Ratos , Ratos Sprague-Dawley , Traumatismo por Reperfusão/patologia , Traumatismo por Reperfusão/terapia , Fator de Transcrição RelA/metabolismo , Fator A de Crescimento do Endotélio Vascular/genética , Fator A de Crescimento do Endotélio Vascular/metabolismo
10.
Analyst ; 142(21): 4106-4115, 2017 Oct 23.
Artigo em Inglês | MEDLINE | ID: mdl-28980671

RESUMO

This work presents a novel and facile strategy for the fabrication of gold-platinum bimetallic nanoclusters (Au-PtNCs) with adjustable Au/Pt molar ratios by a one-pot synthetic route. It was unexpectedly found that the prepared Au-PtNCs with an optimal Au/Pt molar ratio (1 : 1) could exhibit greatly enhanced peroxidase-like catalytic activity and chemical stability toward harsh conditions due to the synergistic effect of the two atoms, in contrast with pure AuNCs. These prominent advantages render Au-PtNCs capable of sensitive and selective colorimetric detection of glucose by means of a NCs-glucose oxidase (GOx) cascade-catalyzed system using 3,3',5,5'-tetramethylbenzidine (TMB) as a chromogenic substrate. This assay can be used not only for visual detection of glucose by the naked eye but for reliable and convenient quantification in the range from 5 to 55 µM with a detection limit of 2.4 µM. Importantly, to widen the application of point-of-care testing (POCT) of glucose to biomedical diagnosis, an integrated agarose hydrogel-based sensing platform comprising NCs, GOx and TMB was rationally designed. It was demonstrated that this sensing platform could serve as a reagentless and instrument-free platform for direct visualization of glucose with different levels in human serum, as the results were in good accordance with those obtained from a free NC-involved detection system as well as from a commercial blood glucometer.


Assuntos
Glicemia/análise , Colorimetria , Ouro , Hidrogéis , Nanopartículas Metálicas , Platina , Glucose Oxidase , Humanos , Peróxido de Hidrogênio , Peroxidases , Sefarose
11.
J Transl Med ; 14(1): 194, 2016 06 30.
Artigo em Inglês | MEDLINE | ID: mdl-27364362

RESUMO

BACKGROUND: Postoperative acute lung injury (ALI) is a severe complication after liver transplantation, which influences patient survival rate obviously. However, its mechanisms are unclear and effective therapies are still lacking. The current study focused on effects of propofol on liver transplantation-induced ALI and whether its underlying mechanism was relative with connexin43 (Cx43) alternation. The authors postulated that endotoxin induced enhancement of Cx43 gap junction (GJ) plays a critical role in mediating post liver transplantation ALI and that pretreatment with the anesthetic propofol, known to inhibit gap junction, can confer effective protection. METHODS: Male Sprague-Dawley rats underwent autologous orthotopic liver transplantation (AOLT) in the absence or presence of treatments with the selective Cx43 inhibitor, enanthol (0.1 mg/kg) and propofol (50 mg/kg), a commonly used anesthetic in clinical anesthesia. In vitro study, BEAS-2B cells, a kind of lung epithelial cell line expressing Cx43, exposed to lipopolysaccharide (LPS), which mainly contributed to ALI. Function of Cx43 GJ was regulated by Cx43 specific inhibitors, gap26 (300 µM) or enhancer, retinoic acid (10 µM) and two specific siRNAs. RESULTS: Compared with the sham group, AOLT results in ALI obviously with plasma endotoxin increase. Cx43 inhibition decreased ALI through inflammatory reaction reduction. In vitro studies, LPS-induced BEAS-2B cells damage was attenuated by Cx43 function inhibition, but amplified by enhancement. Another important finding was propofol reduced Cx43 function and protected against LPS-mediated BEAS-2B cells damage or AOLT-induced ALI, mechanisms of which were also associated with inflammatory reaction decrease. CONCLUSION: Cx43 plays a vital role in liver transplantation-induced ALI. Propofol decreased Cx43 function and protected against ALI in vivo and in vitro. This finding provide a new basis for targeted intervention of organ protection in liver transplantation, even in other kinds of operations.


Assuntos
Lesão Pulmonar Aguda/etiologia , Conexina 43/metabolismo , Junções Comunicantes/metabolismo , Transplante de Fígado/efeitos adversos , Propofol/farmacologia , Animais , Linhagem Celular , Conexinas/metabolismo , Junções Comunicantes/efeitos dos fármacos , Técnicas de Silenciamento de Genes , Humanos , Lipopolissacarídeos , Masculino , RNA Interferente Pequeno/metabolismo , Ratos Sprague-Dawley , Transplante Autólogo , Proteína beta-1 de Junções Comunicantes
12.
Waste Manag Res ; 34(7): 630-7, 2016 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-27154975

RESUMO

Vinegar residue is the by-product in the vinegar production process. The large amount of vinegar residue has caused a serious environmental problem owing to its acidity and corrosiveness. Anaerobic digestion is an effective way to convert agricultural waste into bioenergy, and a previous study showed that vinegar residue could be treated by anaerobic digestion but still had room to improve digestion efficiency. In this study, steam explosion at pressure of 0.8, 1.2, and 1.5 MPa and residence time of 5, 10, 15, and 20 min were used to pretreat vinegar residue to improve methane production, respectively. Scanning electron microscopy and X-ray diffraction analyses were applied to validate structural changes of vinegar residue after steam explosion. Results showed that steam explosion pretreatment could destroy the structure of lignocellulose by removing the hemicellulose and lignin, and improve the methane yield effectively. Steam explosion-treated vinegar residue at 0.8 MPa for 5 min produced the highest methane yield of 153.58 mL gVS (-1), which was 27.65% (significant, α < 0.05) more than untreated vinegar residue (120.31 mL gVS (-1)). The analyses of pH, total ammonia-nitrogen, total alkalinity, and volatile fatty acids showed that steam explosion did not influence the stability of anaerobic digestion. This study suggested that steam explosion pretreatment on vinegar residue might be a promising approach and it is worth further study to improve the efficiency of vinegar residue waste utilisation.


Assuntos
Ácido Acético/química , Anaerobiose , Vapor , Microscopia Eletrônica de Varredura , Difração de Raios X
13.
Cell Physiol Biochem ; 35(3): 926-32, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25633614

RESUMO

BACKGROUND/AIMS: Autophagy is a cellular degradation process for the recycling of damaged or superfluous intracellular compartments to provide an alternative energy source during periods of metabolic stress for maintaining cell homeostasis and viability. Although autophagy in different contexts have been shown to use similar signaling pathways, the exact molecular regulation of autophagy has been found to be cell-type dependent. METHODS: We used rapamycin to trigger autophagy and used nitric oxide (NO) to inhibit autophagy in prostate cancer cells. IWP-2 was used to inhibit ß-catenin signaling. Autophagy-associated proteins were examined by Western blot. RESULTS: We found that nitric oxide (NO), a potent cellular messenger, impaired rapamycin-induced autophagy in prostate cancer cells. Further analyses showed that NO induced nuclear accumulation of ß-catenin, a key factor of Wnt signaling pathway, to inhibit autophagy in prostate cancer cells. CONCLUSIONS: We demonstrate involvement of ß-catenin signaling in the regulation of autophagy of prostate cancer cells. Our results shed light on a previously unappreciated ß-catenin signaling pathway for regulating autophagy in prostate cancer.


Assuntos
Autofagia/genética , Neoplasias da Próstata/genética , Via de Sinalização Wnt/genética , beta Catenina/metabolismo , Apoptose/genética , Autofagia/efeitos dos fármacos , Linhagem Celular Tumoral , Proliferação de Células/genética , Transformação Celular Neoplásica/genética , Regulação Neoplásica da Expressão Gênica/efeitos dos fármacos , Humanos , Masculino , Óxido Nítrico/genética , Óxido Nítrico/metabolismo , Neoplasias da Próstata/patologia , Sirolimo/administração & dosagem , beta Catenina/genética
14.
Urol Int ; 95(1): 38-43, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25720440

RESUMO

OBJECTIVE: This randomized controlled study compared a novel transparent urinary tract simulator with the traditional opaque urinary tract simulator as an aid for efficiently teaching urological surgical procedures. METHODS: Senior medical students were tested on their understanding of urological theory before and after lectures concerning urinary system disease. The students received operative training using the transparent urinary tract simulator (experimental group, n = 80) or the J3311 opaque plastic urinary tract simulator (control, n = 80), specifically in catheterization and retrograde double-J stent implantation. The operative training was followed by a skills test and student satisfaction survey. RESULTS: The test scores for theory were similar between the two groups, before and after training. Students in the experimental group performed significantly better than those in the control group on the procedural skills test, and also had significantly better self-directed learning skills, analytical skills, and greater motivation to learn. CONCLUSION: During the initial step of training, the novel transparent urinary tract simulator significantly improved the efficiency of teaching urological procedural skills compared with the traditional opaque device.


Assuntos
Educação de Graduação em Medicina/métodos , Procedimentos Cirúrgicos Urológicos , Urologia/educação , Adulto , Cateterismo , Competência Clínica , Simulação por Computador , Feminino , Humanos , Masculino , Stents , Estudantes de Medicina , Inquéritos e Questionários , Sistema Urinário/cirurgia , Adulto Jovem
15.
BMC Med Educ ; 15: 93, 2015 Jun 02.
Artigo em Inglês | MEDLINE | ID: mdl-26032174

RESUMO

BACKGROUND: Simulators have been widely used to train operational skills in urology, how to improve its effectiveness deserves further investigation. In this paper, we evaluated training using a novel transparent anatomic simulator, an opaque model or no simulator training, with regard to post-training ureteroscopy and cystoscopy proficiency. METHODS: Anatomically correct transparent and non-transparent endourological simulators were fabricated. Ten experienced urologists provided a preliminary evaluation of the models as teaching tools. 36 first-year medical students underwent identical theoretical training and a 50-point examination of theoretical knowledge. The students were randomly assigned to receive training with the transparent simulator (Group 1), the non-transparent simulator (Group 2) or detailed verbal instruction only (Group 3). 12 days after the training session, the trainees' skills at ureteral stent insertion and removal were evaluated using the Uro-Scopic Trainer and rated on an Objective Structured Assessment of Technical Skills (OSATS) scale. RESULTS: The new simulators were successfully fabricated in accordance with the design parameters. Of the ten urologists invited to evaluate the devices, 100% rated the devices as anatomically accurate, 90% thought both models were easy to use and 80% thought they were good ureteroscopy and cystoscopy training tools. The scores on the theoretical knowledge test were comparable among the training groups, and all students were able to perform ureteral stent insertion and removal. The mean OSATS scores of groups 1, 2 and 3 were 21.83 ± 3.64, 18.50 ± 4.03 and 15.58 ± 2.23 points, respectively, (p = 0.001). CONCLUSIONS: Simulator training allowed students to achieve higher ureteroscopic and cystoscopic proficiency, and transparent simulators were more effective than non-transparent simulators.


Assuntos
Competência Clínica , Simulação por Computador , Cistoscopia/educação , Educação de Graduação em Medicina , Ureteroscopia/educação , Adulto , Educação Médica Continuada , Avaliação Educacional , Desenho de Equipamento , Feminino , Humanos , Internato e Residência , Masculino , Pessoa de Meia-Idade , Urologia/educação
16.
Sheng Wu Yi Xue Gong Cheng Xue Za Zhi ; 31(2): 293-7, 313, 2014 Apr.
Artigo em Chinês | MEDLINE | ID: mdl-25039130

RESUMO

This article describes a novel Multifunctional and Transparent Urinary System Model (MTUSM), which can be applied to anatomy teaching, operational training of clinical skills as well as simulated experiments in vitro. This model covers kidneys, ureters, bladder, prostate, male and female urethra, bracket and pedestal, etc. Based on human anatomy structure and parameters, MTUSM consists of two transparent layers i. e. transparent organic glass external layer, which constraints the internal layer and maintains shape of the model, and transparent silica gel internal layer, which possesses perfect elasticity and deformability. It is obvious that this model is preferable in simulating the structure of human urinary system by applying hierarchical fabrication. Meanwhile, the transparent design, which makes the inner structure, internal operations and experiments visual, facilitates teaching instruction and understanding. With the advantages of simple making, high-findelity, unique structure and multiple functions, this model will have a broad application prospect and great practical value.


Assuntos
Modelos Anatômicos , Modelos Biológicos , Sistema Urogenital/anatomia & histologia , Feminino , Humanos , Rim , Masculino , Próstata , Ureter , Uretra , Bexiga Urinária
17.
JACC Asia ; 4(4): 249-264, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38660101

RESUMO

Heart failure (HF) represents a complex clinical syndrome affecting multiple organs and systems of the body, which is a global public health concern because of its high prevalence, mortality, and medical cost. Asia, with its vast population, diverse ethnicities, and complex health care systems, faces challenges in the prevention and management of HF. However, unlike in Western nations, data on HF epidemiology is still limited in Asia. In this review, we will summarize available information regarding the burden of HF in Asia from the aspects of occurrence, etiology and risk factors, outcome, and management of HF, to provide insights for reducing the burden of HF and improving the prognosis of patients with HF.

18.
Macromol Biosci ; : e2400071, 2024 Apr 03.
Artigo em Inglês | MEDLINE | ID: mdl-38569562

RESUMO

Engineered nanomaterials are promising in biomedical application. However, insufficient understanding of their biocompatibility at the cellular and organic levels prevents their widely biomedical applications. Metal-organic frameworks (MOFs) have attracted increasing attention in recent years. In this work, zeolitic imidazolate framework-8 (ZIF-8) and polydopamine (PDA)-modified ZIF-8 are chosen as model nanomaterials due to its emergent role in nanomedicine. In vitro, the results demonstrate that the PDA coating greatly alleviates the cytotoxicity of ZIF-8 to RAW264.7, LO2, and HST6, which represent three different cell types in liver organs. Mechanistically, ZIF-8 entering into the cells can greatly induce the reactive oxygen species generation, which subsequently induces cell cycle delay and autophagy, ultimately leads to enhanced cytotoxicity. Further, human umbilical vein endothelial cells model and zebrafish embryos assay also confirm that PDA can compromise the ZIF-8 toxicity significantly. This study reveals that PDA-coated MOFs nanomaterials show great potential in nano-based drug delivery systems .

19.
Cell Immunol ; 285(1-2): 62-8, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24095986

RESUMO

CD4(+)CD25(+) regulatory T cells (Tregs) are negative regulators of the immune system that induce and maintain immune tolerance. Exosomes are natural products released from many sources and play a role in antigen presentation, immunoregulation, and signal transduction. In order to determine whether exosomes can be released from Tregs and participate in transplantation tolerance, we isolated and purified Tregs-derived exosomes and established a rat model of kidney transplantation. We then transferred the autologous exosomes into recipients to observe the effect of transplantation tolerance in vivo and in vitro. From in vivo study, serum analysis and histology showed that the function of exosomes can postpone allograft rejection and prolong the survival time of transplanted kidney. From in vitro study, exosomes possessed the capacity to suppress T cells proliferation. Taken together, these results suggest that the Tregs-derived exosomes have a suppressive role on acute rejection and inhibit T cells proliferation, especially exosomes derived from donor-type Tregs, which imply that the Tregs-derived exosomes are one of far-end regulation mechanisms of Tregs. Thus, exosomes released from Tregs could be considered as a possible immunosuppressive reagent for the treatment of transplant rejection.


Assuntos
Exossomos/imunologia , Sobrevivência de Enxerto/imunologia , Transplante de Rim , Linfócitos T Reguladores/imunologia , Tolerância ao Transplante/imunologia , Animais , Antígenos CD4/metabolismo , Proliferação de Células , Rejeição de Enxerto/prevenção & controle , Imunossupressores/imunologia , Subunidade alfa de Receptor de Interleucina-2/metabolismo , Rim/imunologia , Masculino , Ratos , Ratos Endogâmicos Lew , Transplante Homólogo
20.
Environ Technol ; 44(15): 2230-2243, 2023 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34986750

RESUMO

In this study, a series of Mg-modified γ-Al2O3 sorbents have been introduced to simultaneously remove HCl and HF in a low-temperature environment. These sorbents were prepared by impregnation, and the effects of Mg loading amount and calcination temperature on the performance of the sorbent were investigated. The optimal sorbent (modified by 15 wt% Mg and calcined at 400℃, Mg15/Al2O3-400) exhibited the highest adsorption capacity of all the sorbents tested, 37.89 mg(HF)•gsorbent-1 and 34.54 mg(HCl)•gsorbent-1, respectively. Taking into account an excellent HF(HCl) capacity of the Mg15/Al2O3-400, these sorbents are very promising HF(HCl)sorbents usable in a low-temperature environment. The role of MgO loaded on γ-Al2O3 was investigated by Brunauer-Emmet-Teller (BET) method, X-ray diffractometer (XRD), scanning electron microscopy (SEM-EDS), X-ray photoelectron spectroscopy (XPS), temperature-programmed desorption of CO2 (CO2-TPD), and thermogravimetric analysis (TG-DTG). The results revealed that MgO acted as a 'leading role' to promote the adsorption activity of the sorbents. BET analysis demonstrated that the Mg modification process did not seriously change the pore type of the γ-Al2O3. CO2-TPD results revealed that the calcination temperature will significantly affect the number and strength of the basic sites on the surface of the sorbent. In addition, XRD and XPS analysis indicated that the consumption of MgO and the accumulation of reaction products on the surface and pores are the main reasons for the deactivation of the sorbent.


Assuntos
Dióxido de Carbono , Ácido Clorídrico , Temperatura , Ácido Fluorídrico , Óxido de Magnésio , Adsorção
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